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Not enough office visits. You don’t need a PA if your office visits are so low.
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there isn’t enough money coming in to provide a higher salary. They are trying to incentivize him to work harder. This is the carrot before the stick.
But if he’s earning a bonus now, why is he getting a lower salary with the new contract? Surely the bonus is structured taking into account his overhead is already paid
Do the 400 patients per month include the 200 fluoro procedures. If it does then that pay is about right. But if you’re seeing 400 clinic visits AND doing 200 fluoro procedures per month then you are significantly underpaid
(400 x 2) + (200 x 2.5) =1,300 wRVUs/month. That should generate an income of around 1 million
(400 x 2) + (200 x 2.5) =1,300 wRVUs/month. That should generate an income of around 1 million
They realized they are just barely breaking even or losing a small amount with the current arrangement.
If you are truly doing 8600 wrvu and it’s a HOPD job you are underpaid based on average wrvu value.
If private probably average for the volume.
If private probably average for the volume.
Agreed. OP you need to specify if this is PP or HOPD. If this is HOPD you are being ripped off. Your best year you make $485,000 (including your 135K bonus) at 8,600 RVU. That is $56.39 RVU in the year 2025 which is extremely low.
Fixed it for you. Those numbers even for hopd are likely accurate in other parts of the country
Where in the south is $56 the average based on the data?
In the south..I presume nowhere. You would see that more likely in the northeast or west coast. That’s why I said other parts of the country
Original response was to their question. They are getting ripped off, that’s the bottomline. The fact that $56 may be the norm along the coasts doesn’t help OP one bit.
it does when OP sees numbers that people - from the NE or W - post and assumes that those numbers are what they should expect.
go to any job in the NE and demand $65+ per hour and the response will be an almost immediate "good luck on your job search".
see if they will allow you to continue on your original model if that is what you prefer or see if they will go up to 50% but not of collections.
go to any job in the NE and demand $65+ per hour and the response will be an almost immediate "good luck on your job search".
see if they will allow you to continue on your original model if that is what you prefer or see if they will go up to 50% but not of collections.
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deleted1218403
I work 4 half days a week in procedures and 5 half days a week in clinic (procedures interspersed). I am seeing 10-12 patient's per half day of clinic and 14-18 procedures per half day of procedures.
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deleted1218403
Private practice
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deleted1218403
Private practice
Rough numbers: You collect $1M
IF your practice is exceedingly well run, your overhead is 50%. It's probably closer to 60% and likely even knocking on 70%. So, you've got to back that out: Other cost drivers include inflation, SALT, med-mal, and rising labor costs.
On a $1 million production effort per year (without accounting for any office ancillary fees, health plan quality bonus incentives, or stipend for supervising the PA), the BEST scenario for you is a TOTAL compensation package of $500K in value. You can divide up the 500K anyway you like--salary, bonus, benefits, deferred comp, CME, PTO, etc. But that's the meat on the bone you have available to eat.
That volume in HOPD will get you 750-900k
Pre-tax or post-tax?
